| NPI | 1326982612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE LEE CFO 570-223-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251J00000X Nursing Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 164W00000X Licensed Practical Nurse | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106S00000X Behavior Technician | |
| 261QV0200X Clinic/Center, VA | |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-05-23 |